Provider Demographics
NPI:1285680314
Name:AYMOND, CHER YAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHER
Middle Name:YAN
Last Name:AYMOND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1158
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70511-1158
Mailing Address - Country:US
Mailing Address - Phone:337-892-0630
Mailing Address - Fax:337-893-0403
Practice Address - Street 1:207 MILTON RD
Practice Address - Street 2:
Practice Address - City:MAURICE
Practice Address - State:LA
Practice Address - Zip Code:70555-4448
Practice Address - Country:US
Practice Address - Phone:337-898-9449
Practice Address - Fax:337-898-9556
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA026640207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00980764OtherRAILROAD
LA1420085Medicaid
LAP00980764OtherRAILROAD
LA1420085Medicaid
LA4F756Medicare PIN
LAI03988Medicare UPIN